Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ED 10121 INC&REMV FB COMPL
Wheaton, MN
See all hospitals reporting CPT 10121 →Price type
Sanford Wheaton’s median price of $2.5k is 39% above the median hospital's median price ($1.8k), higher than 71% of the 2,260 hospitals reporting CPT 10121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges | $712.74 | $712.74 | $712.74 – $712.74 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,484 | $1,484 | $1,484 – $1,484 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,593 | $1,593 | $1,593 – $1,593 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,607 | $1,607 | $1,607 – $1,607 |
| 5 | Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,607 | $1,607 | $1,607 – $1,607 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,607 | $1,607 | $1,607 – $1,607 |
| 7 | Ucare medicaid managed care case rate · outpatient | $1,701 | $1,701 | $1,701 – $1,701 |
| 8 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $2,026 | $2,026 | $2,026 – $2,026 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $2,324 | $2,324 | $2,324 – $2,324 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $2,324 | $2,324 | $2,324 – $2,324 |
| 11 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $2,458 | $2,458 | $2,458 – $2,458 |
| 12 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $2,458 | $2,458 | $2,458 – $2,458 |
| 13 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2,558 | $2,558 | $2,558 – $2,558 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,558 | $2,558 | $2,558 – $2,558 |
| 15 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $2,587 | $2,587 | $2,587 – $2,587 |
| 16 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $2,587 | $2,587 | $2,587 – $2,587 |
| 17 | Medica choice percent of total billed charges · outpatientfrom % of charges | $2,588 | $2,588 | $2,588 – $2,588 |
| 18 | Medica choice percent of total billed charges · inpatientfrom % of charges | $2,603 | $2,603 | $2,603 – $2,603 |
| 19 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2,650 | $2,650 | $2,650 – $2,650 |
| 20 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2,650 | $2,650 | $2,650 – $2,650 |
| 21 | Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges | $2,724 | $2,724 | $2,724 – $2,724 |
| 22 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $2,734 | $2,734 | $2,734 – $2,734 |
| 23 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $2,734 | $2,734 | $2,734 – $2,734 |
| 24 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $2,734 | $2,734 | $2,734 – $2,734 |
| 25 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $2,734 | $2,734 | $2,734 – $2,734 |
Last updated: Mar 4, 2026
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